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OCR
t
M
a
Fi C
of normal
ed
13. Abdomen: (Condition of wall, scars herniae, and abnormality viscera)
1kg no sean 5 abnormalit
Circumference of abdomen at umbilicus ztmnhest
(inches)
14.
Nervous system: (Note organic or functional disorders) hegatory
15. Urinalysis: Sp. pause Gr. They Sugar hey Microscopical my
15 16. Date of immunization against' Smallpox Jan. 30th 1942 Typhoid Willbe completesly Feb3rd
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
Is the applicant fit to perform active duty (Military, Disaster, etc.?) yes.
If not, state type of duty she is physically fitted to perform
Date Jan 0th 1942 7
mito
e
1 S 3 1 e
x2+35 1 I S 3 1 2 O
30 Frest Examiner are Veronal..]
Tor
roory
se
8° sug Enira: (you
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of
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(boouqu)
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35
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2J
James CIA
A
j
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Eg Import
8
(VII umner pe pl
2
bHARICVE EXVWIAVLIOM
(This form is to be forwarded to the Local Committee on Red Cross Nursing Service with the application for enrollment.)
DEMAICE
0
VWEHICVA HED choaa
a
HEA
3181
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